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LIFEBRIDGE SPORTS MEDICINE & REHABILITATION LLC
NPI 1922396100
Clinic/Center - Rehabilitation in Nottingham, MD

Active since July 21, 2011
9712 BELAIR RD, SUITE 101, NOTTINGHAM, MD 21236(410) 256-7070(410) 256-7077 Get Directions Write a Review

NPPES record last updated: April 25, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lifebridge Sports Medicine & Rehabilitation Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFEBRIDGE SPORTS MEDICINE & REHABILITATION LLC (NPI 1922396100) is a healthcare organization registered as a rehabilitation in Nottingham, Maryland and active in the NPI registry since July 2011. The organization lists Jayne Fleck Pool, Chief Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1922396100
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameLIFEBRIDGE SPORTS MEDICINE & REHABILITATION LLC
Location Address9712 BELAIR RD, SUITE 101Nottingham, MD 21236-1111
Mailing AddressPo Box 1245Indiana, PA 15701-5245 · (724) 465-3496 · Fax (215) 413-4682
Phone(410) 256-7070
Fax(410) 256-7077
Organization SubpartNo
Authorized OfficialJayne Fleck PoolChief Compliance Officer · (610) 884-4803
Enumeration DateJuly 21, 2011
Last NPPES UpdateApril 25, 2012
✔ NPI 1922396100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
9712 BELAIR RD, Nottingham, MD 21236
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Other Identifiers 1

Medicare OSCAR/certification216566MD

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PODIATRY ASSOCIATES, P.A.
Podiatrist
9712 BELAIR RD
BALTIMORE, MD 21236
Baltimore County (410) 256-6060
DR. JOHN DAVID WINTER DDS
Dentist (General Practice)
9712 BELAIR RD, SUITE 304
BALTIMORE, MD 21236
Baltimore County (410) 256-6760
HENNING & COLE THERAPY ASSOCIATES, LTD.
Physical Therapist
9712 BELAIR RD, SUITE 101-A
NOTTINGHAM, MD 21236
Baltimore County (410) 256-7070
JOSEPH ALEXANDER GARCIA MD
Pediatrics
9712 BELAIR RD, SUITE 303
BALTIMORE, MD 21236
Baltimore County (410) 256-8787
CHARLES B MAREK JR MD PA
Obstetrics & Gynecology
9712 BELAIR RD, SUITE 100
BALTIMORE, MD 21236
Baltimore County (410) 256-3200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifebridge Sports Medicine & Rehabilitation LLC's NPI number?

The NPI number for Lifebridge Sports Medicine & Rehabilitation LLC is 1922396100. It was assigned to this organization in the NPPES registry on July 21, 2011.

Where is Lifebridge Sports Medicine & Rehabilitation LLC located?

Lifebridge Sports Medicine & Rehabilitation LLC is located at 9712 Belair Rd Suite 101, Nottingham, MD 21236. The listed phone number is (410) 256-7070.

What is Lifebridge Sports Medicine & Rehabilitation LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

When was this NPI record last updated?

The NPPES record for Lifebridge Sports Medicine & Rehabilitation LLC was last updated on April 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.